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Paper Information

Journal:   WORLD JOURNAL OF PLASTIC SURGERY   JANUARY 2013 , Volume 2 , Number 1; Page(s) 35 To 41.
 
Paper: 

CAN WE ADD AURICULAR COMPOSITE GRAFT TO OUR ARMAMENTARIUM FOR ALAR RIM RECONSTRUCTION?

 
 
Author(s):  MANAFI ALI*, ESLAMI SHAHR BABAKI AMIR
 
* DEPARTMENT OF PLASTIC SURGERY, TEHRAN UNIVERSITY OF MEDICAL SCIENCES, SAMSUNG BUILDING, 3RD FLOOR, SUITE 305, VANAK SQUARE, TEHRAN, IRAN
 
Abstract: 

BACKGROUND: The ala of the nose, with its particular texture and characteristics, poses both aesthetically and functionally intriguing, and is rather problematic regarding choices for reconstructive methods. Both flaps and grafts have been used to restore natural structure of nasal ala. The present study summarizes a ten year period of reconstructive surgery, using skin/dense subcutaneous tissue/skin grafts, with a mean of 4 years and 8 month-follow-up.
METHODS: Cumulatively 56 patients were reported. Some of them required surgery due to previous cosmetic rhinoplasty. In 47 of the cases, a small graft from the non-cartilage bearing junction of ear lobule to helical rim sufficed, but 9 patients had rather large defects, for which grafts were harvested from the helical root. Donor sites were primarily closed, and grafts were implanted in place in a single, rapid surgery.
RESULTS: All small grafts had excellent take. Of 9 large grafts, 5 had excellent, three had acceptable, and one, in a male smoker, had a failure to take. During follow-up, no gross deformity or scar was detected in either donor or recipient site.
CONCLUSIONS: We have demonstrated that using auricular skin/dense subcutaneous tissue/skin composite grafts has favorable long term results for reconstruction of alar rim deformities in both large and small grafts. However, its advantages lean more towards small grafts and applicability of large grafts requires further studies.

 
Keyword(s): AURICULAR COMPOSITE, GRAFT, ARMAMENTARIUM, ALAR RIM, RECONSTRUCTION
 
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